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2012 Texas Medicaid Provider Procedures Manual

Children’s Services Handbook : 5. THSteps Medical : 5.2 Enrollment : 5.2.1 THSteps Medical Provider Enrollment : Additional Education Requirements for Registered Nurses
Additional Education Requirements for Registered Nurses
The educational requirements have changed for RNs who complete the physical assessment portion of the THSteps medical checkup.
THSteps has developed online education modules that contain new courses approved for continuing education units (CEU) for RNs and must be completed prior to providing checkups. THSteps online education modules may be accessed at
Before a physician delegates a THSteps checkup to an RN, the physician must establish the RN’s competency to perform the service as required by the physician’s scope of practice. The delegating physician is responsible for supervising the RN who performs the services. The delegating physician remains responsible for any service provided to a client.
The RN or the employer must maintain documentation that the available required courses were completed, including the following:
RNs who have completed the previously required courses are encouraged, but not required, to take the online courses.
Refer to:
Subsection 5.2.1, “THSteps Medical Provider Enrollment” in this handbook for more information about enrollment procedures.

Texas Medicaid & Healthcare Partnership
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